dr. wilson said. a number of states are putting an electronic of records that the being left at the back of the ku for the electronically. the computers all want to have some more consistency and quality measures. >> in the apco there is a mental health indicator on the screening. last week they pulled together a small meeting in support of the proposed study that would be a round indicators for psychotherapy, psychosocial treatments, an area that needs attention. and i think what you see is than tackling that in the next few months and that would have began to contribute to the need for measures just as we are behind the use of the h.r. and can help technologies and a whole lot of other things. >> thanks. can you hear me? mine question is related to the evidence based practice and i appreciate dr. wilson bringing up the need to use best practices and evidence based practices and thank you for your great work and i'm glad you are putting out the information on the bulletin. i'm wondering when we might

dr. wilson. it is asking about p [ara- professional definitions.suggest you take this offline after the briefing. it is a very good question but very narrowly drawn. feel free to approach dr. wilson . go right ahead. >> i am with the united health group. i have a more social-cultural question about health utilization. i'm interested in the correlation between utilization of children and teenagers in particular and household income. i am wondering if you have noticed any trend where children or teenagers from families with higher incomes have high medical need rates. >> i don't have data on that but i was just reading on the plane here this morning, a piece about over-diagnosis and kids. it spoke to the issue that people who have insurance coverage, there is a higher diagnosis of adhd in that population. i don't know if that is what you're getting at but there are statistics about that. i am not an expert. >> our data recovers people who get into the public system. i can't answer that either. >> i'm with the national real health association and i wo

dr. wilson. [ara-asking about p professional definitions. i suggest you take this offline after the briefing. it is a very good question but very narrowly drawn. wilsonee to approach dr. . go right ahead. >> i am with the united health group. i have a more social-cultural question about health utilization. i'm interested in the correlation between utilization of children and teenagers in particular and household income. i am wondering if you have noticed any trend where children or teenagers from families with higher incomes have high medical need rates. >> i don't have data on that but i was just reading on the plane here this morning, a piece about over-diagnosis and kids. it spoke to the issue that people who have insurance coverage, there is a higher diagnosis of adhd in that population. i don't know if that is what you're getting at but there are statistics about that. i am not an expert. our data recovers people who get into the public system. i can't answer that either. i'm with the national real health association and i wonder about t

dr. sam wilson, who ironically was also stationed -- >> i am running out of, i'm sorry. -- dr. wilson himself is a disabled veteran and very familiar. he was the one who talked to me that this may be something that is connected. i believe i told him -- >> i have to cut you off. i am talking. let me ask you this. you feel the 30% rating you have for the pain in your foot is accurate to the sacrifices you have made for this nation? that the va decision is accurate in your case? >> yes, ma'am. >> my right arm was essentially blown off in the attached. i spent a year with a dozen servant -- surgeries over that time. in fact, we thought we would lose my arm. i am still in danger of losing my arm. feelnnot feel it, i cannot three of my fingers. my disability rating for that arm is 20%. in your letter to a government sva,ial, i think it is the you said, my family and i have made considerable sacrifices for our country. my service-connected disability status should serve as a testimony to that end. i cannot say with my kids because i cannot walk without pain. i take twice daily pain med

dr. wilson who was a disabled veteran he was the one that talk to me.his may be something i was connected. >> i have to cut you off. i'm talking. i'm up here. to you feel that the 30 percent rating you have for the stars and pain is accurate the decision is accurate in your case. >> yes, i do. >> you know, my right arm was essentially blown off and reattached. over a dozen surgery's command in fact we doubt we would lose my arm, and i still in danger. i can feel it. >> in your letter to a government official i think it's the sba to my attention, you said my family and i have made considerable sacrifices for our country. my service connected disability should serve as the testimony to that end. i can't play with my kids because i can't walk without pain. i take twice daily pain medication so i can work a normal day's work. these are crosses that i bear due to my service to our country, and i would do it again to protect this great country. i'm so glad if you would be willing to play ball and prep school again. shame on you. you may not have broken any la

dr. wilson works with.hey increase the fund is a combination of fee-for-service and managed care using various medicaid options and waivers. medicaid has become the important funding source for the public system. states received $18 billion for the state mental health community, 50% of state funds in the committee are from medicaid. overall, 42% because state hospitals don't get state medicaid. we often hear that from advocates that in states are pulling out of general revenue fund. this chart shows states really aren't. that general revenue has gone up to almost $15 billion but medicaid has grown so much faster and that's why it's become a larger share of the funding. finally, what's going to be the impact of the aca, affordable care act on mental health assistance? what we're hearing is it really depends on what the governor and the legislatur legislature is d. you all are very much aware that not all states are supporting expansion of medicaid or setting up state-based health exchanges. this shows a coup

dr. wilson will talk about misery's by -- first your evidence about how effective they are.ot expanding medicaid. idaho, missouri, are doing health forums to coordinate and getting exciting results. similarly, and the medicaid friend, accountable care organizations are another area mental health is working with. finally, cms has other demonstration programs. these are for people that have mental health and medicare. states are looking at using to bridge the gap in mental health services. >> for those of you that do not know john, he is a state policy adviser at the centers for medicare and medicaid services. he has a great background in providing expertise to state and local human services and disease and medicaid programs and mental health programs and a senior leadership. he is even a director -- directed several robert wood johnson programs. very well qualified to be part of the panel. looking forward to hearing from him. >> thank you. good afternoon. thank you for inviting us here today. we would like to tell a little bit of a story about what we're doing, as relates to

dr. wilson. organizatione your to become a federally qualified health center?as it difficult to do and did jury decisionmarked change in medicaid reimbursement when you became an fq8-c. >> yes, we did. that was a wonderful incentive for us to take that step. the severity of the -- difficult step. causes or different and the fqh-c work very hard so had to work quickly. when we were looking around for models in the country, we found that there are many places that had spun off fqh as opposed to becoming one but a few like cherokee in tennessee had done a wonderful job in terms of making that transition. we wanted to retain a lot of the community-based behavioral health care components and the recovery model. putting those all together was the major challenge. we found when we look at our board as being an organization that could help us politically and could help us in terms of our legitimacy a local basis and where it was to have bush of dollar rebounded we had to debate how to go about doing that. i think that struggle has paid off well. in terms of making that

dr. wilson, an obscure psychiatric -- i was intimately well acquainted with him because my best friend was daughter and i couldn't believe where did you find this guy? >> caller: talked about the voices in the head. >> host: i apologize, i hung up on that caller. called back. so rouge. he is one who has i am remembering, talking about the voices people would hear and schizophrenia, he was wondering whether those leases were actually real, maybe memory was wrong, maybe it was affecting the brain in a way that enabled them to hear things the rest of us couldn't hear. he wrote where did i -- i don't know where i found wilson. i forget where i came across him but it was of fascinating, thoughtful, out of the box and cessation of the voices one hears with psychosis. >> host: karen jessica, md. you are on booktv on c-span2. >> i thoroughly enjoyed this interview, i read everything of mary roach's other than packing for mars. you mentioned the earlier you were reluctant to talk about the science underlying miracles. i am an ex conservative or. there was a small but interesting literature about th

dr. wilson van dusen. >> guest: oh, yeah. >> caller: an obscure psychiatric -- >> guest: yes. >> caller: well, i was intimate ly well acamed with him because my -- acquainted because my best friend was his daughter. >> guest: oh, okay. >> caller: and i couldn't believe, where did you find this guy? >> guest: he's about the guy who talked about the voices in the head? >> host: oh, i apologize. i hung up on that caller. >> guest: you hung up on her? >> host: i pushed another button. >> guest: robin, call back. he's so rude. well, wilson van deuce condition, he's the one -- if i'm remembering right, it's a while since i wrote "spook," he was talking about the voices that people would hear in schizophrenia, and he was wondering whether the voices were actually real and that -- maybe i'm remembering this wrong, but that people with schizophrenia, maybe it was affecting the brain in a way that enabled them to hear things the rest of us couldn't hear. where the heck -- i don't know where i found wilson van abusen. wilson. i forget where i came across him. but it was a fascinating, a very though

dr. carlton place san francisco california 94102. and i think you can turn to -- on the internet for common/mdc upcoming meetings. >> thank you very much. information team, any correspondence? >> yes, cochair wilson. there was one piece of correspondence letter from wendy which should have been in your packet today and i would check with our staff if there is any other correspondence to bring to their attention. >> it's that one piece. >> we did receive a hand out from an earlier public speaker and it was received here in the meeting today. >> okay thank you. >> let's make sure we have a copy to scan. >> thank you. >> thank you very much. i'm sorry, i did not close public comment. so i'm closing public -- seeing that no one has public comment, i'm closing public comment. is there any announcements? i just wanted to announce one, august 10th at the main library stories of hope and recovery. and it starts from 11:00 until 1:00 at the -- not the main library, sorry, bay view branch library. the new library in the bayou. you can go to any public library, they'll give you information on any of their libraries here in the city. so you can do that and don't forget the mayor's office on disabilities hous